1. A 58-year-old male with a history of hypertension and diabetes
presents with a complaint of sudden onset of severe headache and
blurred vision. Which of the following is the most appropriate
initial diagnostic test?
A. CT scan of the head
B. MRI of the brain
C. Blood glucose level
D. Fundoscopic examination
Answer: A. CT scan of the head
Rationale: The sudden onset of severe headache and blurred
vision could indicate a cerebrovascular event, and a CT scan is the
quickest way to rule out a hemorrhagic stroke.
2. A 65-year-old female patient presents with fatigue, weight gain,
and constipation. Her TSH level is 7.5 mIU/L. What is the most
likely diagnosis?
A. Hyperthyroidism
B. Hypothyroidism
C. Diabetes mellitus
D. Depression
Answer: B. Hypothyroidism
Rationale: The symptoms and elevated TSH level suggest
hypothyroidism, which is common in older adults.
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